Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.78 / $4,396.00 / $10,300.00	Facility		$887.78	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $879.33 / $887.78 / $4,496.89	Professional		$879.33	$887.78	$4,496.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $844.36 / $1,091.16 / $1,530.33	Professional		$844.36	$1,091.16	$1,530.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.43 / $1,019.88 / $1,453.92	Professional		$702.43	$1,019.88	$1,453.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $940.01 / $1,218.53	Professional		$17.64	$940.01	$1,218.53
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $678.72 / $1,716.83 / $1,716.83	Facility		$678.72	$1,716.83	$1,716.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $729.40 / $1,044.45	Professional		$12.00	$729.40	$1,044.45
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,917.00 / $4,661.00	Facility		$408.00	$1,917.00	$4,661.00
United Facility/Professional Professional Modifier Low / Median / High Price $805.99 / $1,049.45 / $1,602.10	Professional		$805.99	$1,049.45	$1,602.10